Individual provider · NPI-1

Mofetoluwa Adeosun

Family Medicine · Erie, PA

NPI number1790466944
StatusActive
Last updated in NPPESJul 31, 2023

Details

NPI
1790466944
Entity type
Individual (NPI-1)
Name
Mofetoluwa Adeosun
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 31, 2023
Certification date
Jul 31, 2023
Last updated
Jul 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMT229941PAYes

Practice location

311 W 24th St Fl 4
Erie, PA 16502-2665

Phone 814-452-5101

Mailing address

311 W 24th St Fl 4
Erie, PA 16502-2665

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